Active NPI
California Neuroinstitute Inc
- Neurological Surgery Physician
- San Jose, CA
National Provider Identifier
1760873871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- CALIFORNIA NEUROINSTITUTE INC
- Practice address
- 2550 Samaritan Dr Ste D
San Jose, CA 95124-4104 - Phone
- (408) 540-6861
- Fax
- (408) 540-6865
- NPI assigned
- Feb 10, 2015
- Last updated
- Mar 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fahd Rahman Khan, MD
- Title
- President
- Phone
- (408) 540-6861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
2550 Samaritan Dr Ste D
San Jose, CA 95124-4104
Mailing address
2550 Samaritan Dr Ste D
San Jose, CA 95124-4104
Phone (408) 540-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/JGEECD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- San Jose, CA
- NPI 1174731095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1760873871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 SAMARITAN DR STE D",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244104",
"telephone_number": "408-540-6861",
"fax_number": "408-540-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 SAMARITAN DR STE D",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244104",
"telephone_number": "408-540-6861",
"fax_number": "408-540-6865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA NEUROINSTITUTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-10",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "FAHD",
"authorized_official_middle_name": "RAHMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-540-6861",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
- California Guardians (Homewatch Caregivers of West San Jose)
- California Home Doc
- California Integrated Dentistry
- California Ipa Inc
- California Mental Health LLC
- California Spine and Neurosurgery Institute (San Jose Neurospine)
- John Carlo T Caliva
- Liezel Caliva, HIS
- Rachel L Calkins
- Call on Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.